Active NPI
Primary Critical Care Limited Partnership
- Emergency Medicine Physician
- Fallbrook, CA
National Provider Identifier
1467417030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G53318
- Legal business name
- PRIMARY CRITICAL CARE LIMITED PARTNERSHIP
- Practice address
- 624 E Elder St
Fallbrook, CA 92028-3004 - Phone
- (760) 728-1191
- NPI assigned
- Apr 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce T Gipe, MD
- Title
- President and General Partner
- Phone
- (818) 509-2222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G53318 | CA | Primary |
Addresses
Primary practice location
624 E Elder St
Fallbrook, CA 92028-3004
Mailing address
PO Box 998
North Hollywood, CA 91603-0998
Phone (818) 509-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0088730 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204156800000",
"number": "1467417030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 998",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916030998",
"telephone_number": "818-509-2222",
"fax_number": "818-761-3458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 E ELDER ST",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920283004",
"telephone_number": "760-728-1191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CRITICAL CARE LIMITED PARTNERSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-18",
"last_updated": "2008-02-28",
"status": "A",
"authorized_official_last_name": "GIPE",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT AND GENERAL PARTNER",
"authorized_official_telephone_number": "818-509-2222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G53318",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0088730",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fallbrook, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.